Active NPI
Johnathan James Laznovsky, LMT
- Massage Therapist
- Holbrook, NY
National Provider Identifier
1891332300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 032030
- Practice address
- 920 Lincoln Ave Unit 11
Holbrook, NY 11741-2257 - Phone
- (631) 256-5184
- NPI assigned
- Dec 3, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 032030 | NY | Primary |
Addresses
Primary practice location
920 Lincoln Ave Unit 11
Holbrook, NY 11741-2257
Mailing address
920 Lincoln Ave Unit 11
Holbrook, NY 11741-2257
Phone (631) 256-5184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032030 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Human Restoration Project Inc | Massage Therapist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575331200000",
"number": "1891332300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 LINCOLN AVE UNIT 11",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "117412257",
"telephone_number": "631-256-5184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 LINCOLN AVE UNIT 11",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "117412257",
"telephone_number": "631-256-5184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZNOVSKY",
"first_name": "JOHNATHAN",
"middle_name": "JAMES",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-12-03",
"last_updated": "2019-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "032030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holbrook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.